Primary Home Health Care, Inc

The agency failed to develop an emergency preparedness plan that had been reviewed, updated and included mitigating strategies to address the potential hazards identified in the Hazardous Vulnerability Assessment.

The agency failed to include a complete, individual emergency preparedness plan for 2 of 7 patients (P-5, 7), resulting in the potential for unprepared responses to emergencies, which could negatively affect the 12 patients currently serviced by this agency.

The agency failed to ensure its skill discipline appropriately assessed the patient's needs for 1 (P-1) of 1 patient who required weight and blood glucose monitoring, from a total of 7 sampled records reviewed, resulting in the potential for unidentified, untreated health concerns and unmet care…

The agency failed to ensure that 1 (P-2) of 2 patients observed during home visits, from a total of 7 sampled records reviewed, was included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of…

The agency failed to ensure the Physical Therapist conducted the initial assessment visit within 48 hours of referral to home care to determine the immediate care and support needs of the patient, including homebound status for 1 (P-2) of 1 patient who experienced a delay in needed services, from a…

The agency failed to conduct a comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 3 of 7 records…

The Registered Nurse failed to promptly notify the Physician regarding an injury for 1 (P-1) of 1 patient who sustained an injury to his right hand, resulting in the potential for unidentified, untreated health concerns and unmet care needs.

The agency failed to ensure a completed Transfer Summary was forwarded to the receiving facility and the Physician for 1 (P-1) of 1 patient who was transferred to an inpatient facility with subsequent hospitalization, from a total of 7 sampled records reviewed resulting in lack of continuity of…

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 4 of 7 records reviewed (M.R.#s 1, 2, 4, 6), from a total of 7 records reviewed, resulting in the potential for a plan of care not meeting the patient's needs.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The agency failed to ensure professional staff communicated with all of the physicians involved in the patient's colostomy and wound care provided in 1 of 1 record reviewed (MR#2) in which the patient failed to receive a glucometer, resulting in the potential for a negative outcome.

The agency failed to ensure clinical notes were accurate for 3 of 7 (MR# 2, 3, 5) records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The Agency failed to ensure a discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals in 1 (MR# 1) of 2 closed records, from a total of 7 records reviewed, resulting in the potential for unidentified continuing health care…